Individual
ETHAN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2815 NEW PINERY RD, PORTAGE, WI 53901-9257
(608) 745-6420
Mailing address
1017C PARKSIDE AVE APT 102, BARABOO, WI 53913-8979
(320) 894-0664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16813-24
WI
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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